Phuc M Nguyen, D.D.S

Primary specialty

DentistTaxonomy code 122300000X

License

56708 Issued in CA

Practice address

24602 Ashland Dr
Laguna Hills, CA 92653-4334

Phone

(714) 718-3188

NPI assigned

Dec 27, 2007

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Dr. Peter P Nguyen Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1198713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1320624000000",
    "number": "1851575732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24602 ASHLAND DRIVE",
            "city": "LAGUNA HILLS",
            "state": "CA",
            "postal_code": "92653",
            "telephone_number": "714-718-3188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24602 ASHLAND DR",
            "city": "LAGUNA HILLS",
            "state": "CA",
            "postal_code": "926534334",
            "telephone_number": "714-718-3188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "PHUC",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "D.D.S",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-12-27",
        "last_updated": "2011-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "56708",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PETER",
            "last_name": "NGUYEN",
            "middle_name": "P",
            "prefix": "DR.",
            "credential": "D.D.S",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Irene Nguyen, OTR/L
• Katherine Nguyen, PHARMD
• Kim Oanh Nguyen, O.D.
• Kim Uyen Nguyen
• Nathan Hoang Nguyen, PHARMD
• Quoc Lap Nguyen, DDS
• Teneese Nguyen, MD.
• Vivian Nguyen, MD, MBA
• Chieh En Ni
• Niamedic BH PC

• Dentist in Laguna Hills, CA
• Providers in Laguna Hills, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.